Individual
ROBERT CARL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
(402) 992-1272
Mailing address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
(402) 992-1272
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
452
NE
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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